Provider Demographics
NPI:1942194972
Name:GUERRERO ROSABAL, MANUEL ALEJANDRO (RN)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:ALEJANDRO
Last Name:GUERRERO ROSABAL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140643
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0643
Mailing Address - Country:US
Mailing Address - Phone:786-992-2039
Mailing Address - Fax:
Practice Address - Street 1:2319 W 74TH ST APT 109
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-6831
Practice Address - Country:US
Practice Address - Phone:786-992-2039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103713-G163W00000X
FL9520435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse